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The mayor of New York wants the city to ‘fully reopen’ on July 1. - The New York Times

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People pose for photos near the cruise docks in San Juan, P.R., last week.
Erika P. Rodriguez for The New York Times

Cruise ships that have been docked for more than a year could restart sailing in United States waters by mid-July, the Centers for Disease Control and Prevention said in a letter sent to the cruise industry late on Wednesday.

After several meetings with cruise lines, the C.D.C. clarified several requirements in its Framework for Conditional Sailing Order, which outlined the steps that cruise companies had to follow to resume operations in U.S. waters. The agency said it will let the companies skip test voyages if they attest that 98 percent of the crew and 95 percent of passengers are fully vaccinated.

Previously, the agency required cruise lines to give 30 days notice before starting a test cruise and to apply for a conditional sailing certificate 60 days before a planned regular voyage. The Cruise Lines International Association, the industry’s trade group, called the guidelines “burdensome” and “ambiguous” and asked the C.D.C. to factor in how quickly Americans are being vaccinated.

The C.D.C. said on Wednesday that it would review and respond to applications for simulated voyages within five days, “putting cruise ships closer to open water sailing sooner.”

The agency also eased its pre-sailing testing requirements for fully vaccinated passengers and crew, allowing them to take a simple viral test instead of a PCR test, which takes longer to yield results.

“We acknowledge that cruising will never be a zero-risk activity and that the goal of the Conditional Sailing Order’s phased approach is to resume passenger operations in a way that mitigates the risk of Covid-19 transmission onboard cruise ships and across port communities,” the C.D.C. said in a statement on Thursday.

“We remain committed to the resumption of passenger operations in the United States following the requirements in the CSO by midsummer, which aligns with the goals announced by many major cruise lines,” it went on.

Cruise companies did not immediately comment on the C.D.C.’s updated guidelines as many were still reviewing the letter.

Florida is the biggest state for cruise operations and it had sued the C.D.C. to force it to restart sailings. But the state has passed legislation mandating that companies that do business with the state or get state subsidies cannot require people to be vaccinated for admission or service. That could make it difficult for cruise lines to guarantee that they have met the vaccination rates set in the C.D.C.’s new letter.

The cruise news site Cruise Critic asked its readers last week whether they would book a cruise if the C.D.C. allowed U.S. sailings to start this summer. Out of more than 600 respondents, 64 percent said they would book a cruise in 2021, while 27 percent said they would wait until 2022.

Waiting to receive Covid-19 vaccinations in Mumbai, India, on Monday.
Divyakant Solanki/EPA, via Shutterstock

With India preparing to make residents 18 and older eligible for a coronavirus vaccine starting Saturday, Dr. Aqsa Shaikh emailed the country’s largest drug manufacturer this week asking for doses for the vaccination center she runs in New Delhi.

The response was not encouraging: The company, the Serum Institute of India, said it was so overwhelmed by demand that it could take five or six months for Dr. Shaikh to get the 3,000 doses per month she requested.

“When I read that email, images of mass burials appeared in front of my eyes,” she said. “We may have to shut down the center now if the government doesn’t chip in.”

Mass vaccinations could be the only way for India to curb its outbreak. The health ministry on Thursday reported more than 375,000 cases and more than 3,600 deaths, and hospitals warned of critical shortages of ventilator beds, medical oxygen, medicines and other lifesaving supplies.

On Wednesday, the U.S. government authorized families of diplomats to leave India and advised other Americans there to leave “as soon as it is safe to do so.”

As grim as India’s coronavirus numbers are — and experts warn that its reported death toll of more than 204,000 could be a significant undercount — its vaccination program was supposed to be a bright spot. Before the pandemic, India ran the world’s largest immunization program, delivering routine vaccinations to 55 million people a year. The Serum Institute aimed to become the vaccine manufacturer for the world, pumping out tens of millions of doses of the AstraZeneca vaccine at its factories in the western city of Pune.

But after an initial fast rollout, averaging some three million injections a day, India’s vaccination drive is slowing. The health ministry said on Thursday that it had administered fewer than 2.2 million doses in the last 24 hours.

About 26 million people have been fully vaccinated, or 2 percent of the population, making it unlikely that India will meet Prime Minister Narendra Modi’s goal of vaccinating 300 million people by the summer.

Despite cash infusions from Mr. Modi’s government, India’s major vaccine companies are struggling to increase production. The Serum Institute is producing about 60 million doses a month, and another Indian company, Bharat Biotech, is making about 10 million doses a month of its Covaxin shot. A third company has signed an agreement to produce Russia’s Sputnik V vaccine later this year.

But that is a fraction of what India needs to inoculate every adult, some 940 million people. Dr. Chandrakant Lahariya, an epidemiologist, tweeted: “It is like inviting 100 people at your home for lunch. You have resources to cook for 20.”

Already, hospitals say they are running out of vaccines. Many Indians who have received one shot say they are having trouble getting a second.

“You feel like you are being cheated,” said Aditya Kapoor, a New Delhi businessman who said he was turned away from two clinics when he went to get his second dose.

An online portal the government launched on Wednesday to register for shots crashed because of the demand; more than 13 million Indians eventually got appointments.

“We don’t know what to do from Saturday; the shortage is everywhere,” said Balbir Singh Sidhu, the health minister in Punjab State, which is struggling to obtain the three million doses of the AstraZeneca vaccine that it ordered.

The Indian health ministry denied there was a supply shortage and said that it had tried to speed up the rollout by allowing private facilities to purchase directly from manufacturers. But critics say the policy could lead to companies raising prices for private buyers.

In New Delhi, at the vaccination center at Jamia Hamdard, a medical college, Dr. Sheikh said that she would soon be unable to offer even the 150 doses she administers in an average day.

“Just thinking about not being able to help at our vaccination center makes me cry,” she added.

Patients in tents outside Kennedy Hospital in Bogotá, Colombia, this month. Colombia has been able to issue a first vaccine to just 6 percent of its population.
Federico Rios for The New York Times

With vaccinations mounting in some of the world’s wealthiest countries and people cautiously envisioning life after the pandemic, the crisis in Latin America — and in South America in particular — is taking an alarming turn for the worse, potentially threatening the progress made well beyond its borders.

Last week, Latin America accounted for 35 percent of all coronavirus deaths in the world, despite having just 8 percent of the global population, according to data compiled by The New York Times.

The length of the region’s epidemic makes it even harder to fight. It has already endured some of the strictest lockdowns, longest schools closures and largest economic contractions in the world.

And if Latin America fails to contain the virus — or if the world fails to step in to help it — new, more dangerous variants may emerge, said Dr. Jarbas Barbosa of the Pan-American Health Organization.

“This could cost us all that the world is doing” to fight the pandemic, he said.

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Mayor Bill de Blasio of New York set a goal on Thursday for a full reopening of city businesses on July 1, but his authority to lift restrictions was somewhat limited. Capacity limits have been set by the state.Gabby Jones for The New York Times

New York City aims to fully reopen on July 1 and allow businesses including restaurants, shops and stadiums to operate at full capacity, Mayor Bill de Blasio said Thursday, offering a tantalizing glimpse of normalcy even as his authority to actually lift restrictions on businesses was somewhat limited.

Mr. de Blasio, who made the remarks on MSNBC, said that gyms, hair salons, arenas, some theaters and museums should all expect to be open fully without capacity limits. Broadway, he said, was on track to open in September.

At his news conference later, the mayor added that he wanted the subways, which currently shut down for two hours overnight for cleaning and disinfecting, to run around the clock once more by July.

“We now have the confidence we can pull all these pieces together, and get life back together,” he said. “This is going to be the summer of New York City.”

Most of the restrictions placed on New York City during the pandemic have been set by Gov. Andrew M. Cuomo and the state, and Mr. de Blasio has not had the authority to lift them.

The city and the state have not always agreed on the best path forward, and Mr. de Blasio said Thursday that he had not spoken to Mr. Cuomo about his reopening plan.

Mr. Cuomo emphasized during his own news conference that the state was in charge of managing the reopening and said that he was generally “reluctant to make projections” on a date, saying that doing so would be “irresponsible.”

Still, the governor, who has eased restrictions in recent weeks, said that he was also hopeful that a wider reopening was within sight, possibly sooner than the mayor’s goal. “I think that if we do what we have to do, we can be reopened earlier,” Mr. Cuomo said.

Mr. de Blasio has said that the city expects vaccinations to drive down new coronavirus cases over the next two months. From a second-wave peak of nearly 8,000 cases in a single day in January, New York City was averaging about 2,000 virus cases per day as of last week. Public health officials say that by July, if the city stays on its current trajectory, that number could drop to below 600 cases a day, perhaps lower.

“We laid out a plan, we will back it up with skyrocketing vaccination numbers and declining cases. If someone wants to deny that, let’s have that discussion in public,” said Bill Neidhardt, a spokesman for the mayor. “We feel strongly we’d win that debate.”

The state had already announced several changes this week. The State Legislature on Wednesday suspended an unpopular directive from Mr. Cuomo that required customers to order food when purchasing alcohol at bars and restaurants. And Mr. Cuomo said that a curfew that forced bars and restaurants to close early would end statewide on May 17 for outdoor dining areas and May 31 for indoor dining.

Amazon has run its warehouses closer to full capacity, and delivery drivers have made more stops on their routes, during the pandemic.
Brendan Mcdermid/Reuters

With the pandemic shifting sales online and consumers flush with stimulus checks, Amazon on Thursday reported $108.5 billion in sales in the first three months of the year, up 44 percent from a year earlier. It also posted $8.1 billion in profit, an increase of 220 percent from the same period last year.

The first-quarter results surpassed Wall Street’s expectations. Shares were up as much as 5 percent in aftermarket trading.

The most profitable parts of Amazon’s retail business boomed. Revenue from merchants listing items on its website and using its warehouses was up 64 percent, to $23.7 billion. Its “other” business segment, which is largely its lucrative advertising business, increased 77 percent, to almost $7 billion.

Amazon previously disclosed that 200 million people pay for Prime memberships, and subscription revenue for that service and others reached almost $7.6 billion in the quarter. In addition to paying Amazon $119 a year or $12.99 a month for free shipping and other perks, households with Prime memberships typically spend $3,000 a year on Amazon, more than twice what households without the membership spend, according to Morgan Stanley.

The high volume of orders during the pandemic has let Amazon operate more efficiently. It has run its warehouses closer to full capacity, and delivery drivers have made more stops on their routes, with less time driving between customers. The number of items Amazon sold grew 44 percent, but the cost to fulfill those orders was up only 31 percent.

The pandemic’s shift to remote computing was also a boon to Amazon’s profitable cloud computing business, Amazon Web Services, which had $13.5 billion in sales.

“We certainly had strong volumes really across all of our businesses,” Amazon’s finance chief, Brian Olsavsky, said on a call with reporters. He said the company is investing heavily in future growth. It spent almost $50 billion in capital expenditures in the last 12 months, largely on building out its logistics operations and data centers, up 80 percent over a year earlier. Mr. Olsavsky said he expected “another strong year” for capital spending.

“In just 15 years, AWS has become a $54 billion annual sales run rate business competing against the world’s largest technology companies, and its growth is accelerating,” Jeff Bezos, Amazon’s founder and chief executive, said in a statement. Mr. Bezos plans to step down as chief executive later this year and transition into the role of executive chairman.

Amazon’s total work force dipped slightly between December and the end of March, falling by 27,000 to 1,271,000 employees globally. That was still 51 percent more workers than the same period last year. On Wednesday, Amazon announced it would increase pay for half a million workers and was hiring “tens of thousands” more.

Central Paris earlier this month. President Emmanuel Macron of France began mapping the nation’s exit from a web of lockdown restrictions.
Dmitry Kostyukov for The New York Times

President Emmanuel Macron of France outlined plans on Thursday for the gradual reopening of the country, plotting a path out of the labyrinth of restrictions in place and fueling hope that life might finally return to normal after waves of infections forced the country into three national lockdowns.

Mr. Macron said schools would reopen next week, followed by the return of museums, cinemas, shops and outdoor service at cafes on May 19. The 7 p.m. curfew will be pushed back to 9 p.m., he told French newspapers.

“We must recover our French art of living, while remaining prudent and responsible: our conviviality, our culture, sports,” Mr. Macron said, though he added that the reopening in some regions might be delayed if cases rise.

Cafes and restaurants will be allowed to serve patrons inside starting the second week of June, and gyms will also reopen then under certain conditions such as limited number of people. The nighttime curfew and most restrictions on gatherings will be lifted on June 30.

Mr. Macron’s announcement came as the coronavirus situation appears to be improving in France, with the average number of new daily cases falling to 27,000 from 35,000 over the past two weeks and as the vaccination campaign is finally gathering speed after months of hurdles.

The decision to gradually reopen was also a way to respond to the deep sense of fatigue and frustration that has taken root in France over an endless cycle of coronavirus restrictions enshrouding cities like Paris in deep gloom, as cafes, restaurants and cultural venues — the very heart of the capital — have been closed since the fall.

Europe has experienced a significant downturn in coronavirus cases after two months of surging infections, and other governments are rolling back restrictions. Britain, which has led the region’s vaccine rollout, has allowed pubs, bars and restaurants to reopen outdoors and is progressively lifting limits on the size of social gatherings. Switzerland adopted similar measures in mid-April and Italy started easing some rules this week.

The World Health Organization’s chief European official on Thursday cautioned, however, that infection rates across the region remained high.The official, Hans Kluge, said that public health controls and individual measures like mask-wearing would determine if cases would continue to fall. Half of all of Europe’s reported cases have occurred since January, Dr. Kluge said, as the continent has struggled against the rapid spread of B.1.1.7, the more infectious virus variant first identified in Britain.

“The virus still carries the potential to inflict devastating effects,” Dr. Kluge said. “It’s very important to realize the situation in India can happen anywhere.”

B.1.617, the variant now common in India, has been found in 10 countries in Europe, according to Ihor Perehinets, a senior official in the W.H.O. Europe emergency program. There was no evidence that Covid-19 vaccines were not effective against this variant, Oleg Benes, a W.H.O. Europe vaccine specialist, told reporters.

Ohio Wesleyan University is among the colleges requiring students to be fully vaccinated in order to attend in-person classes.
Andrew Spear for The New York Times

More than 100 colleges across the United States have said they will require students to receive coronavirus vaccines in order to attend in-person classes in the fall, according to a New York Times survey.

Those requirements come as coronavirus cases have continued to climb steadily this spring at U.S. colleges and universities. More than 660,000 cases have been linked to the institutions since the start of the pandemic, with one-third of those since Jan. 1.

Major outbreaks continue on some campuses, even as students have become eligible for vaccines. Salve Regina University in Rhode Island canceled all in-person events for at least a week after more than 30 students tested positive in seven days. Wayne State University in Detroit, a city that has been one of the worst U.S. coronavirus hot spots, suspended in-person classes and on-campus activities in early April.

Schools including DePaul University, Emory University and Wesleyan University are requiring all students to be vaccinated. Others have said they are requiring athletes or those who live on campus to get a shot. Most are allowing medical, religious and other exemptions.

Although private colleges make up the bulk of the schools with vaccine mandates, some public universities have also moved to require the shots.

Students and employees of the University System of Maryland will be required to get vaccinated before returning to campus in the fall, said the chancellor, Jay A. Perman. He said he was particularly concerned about the B.1.1.7 variant, which he described in his announcement last week as more contagious.

“That’s what we’re preparing for,” he said, “more infectious, more harmful variants that we think could be circulating on our campuses come fall.”

At least two dozen colleges have said that they will not require shots while the vaccines have only emergency authorization. California’s public university systems announced that they would require shots after the U.S. Food and Drug Administration grants full approval for the vaccines.

On Thursday, the American College Health Association, a trade group representing college health professionals, urged colleges and universities to adopt vaccination requirements for all on-campus students for the upcoming fall semester, if state laws would allow. The group pointed out that many students and employees are at high risk for severe illness and complications from the coronavirus, and said that college reopenings in the fall had been associated with spread in surrounding communities.

Some colleges with mandates may face challenges. At Manhattanville College in New York, where students will need to provide proof of their shots before returning to campus, one student started a petition to reverse the policy, saying that the decision to get vaccinated was deeply personal. At Stanford University, the College Republicans, a student group, condemned the administration’s plans to require vaccinations for the fall.

Numerous colleges that are not requiring vaccinations are offering incentives to encourage them. Baylor University in Texas and Calvin University in Michigan have both announced that students who have been inoculated can skip mandatory testing.

The University of Wyoming is offering vaccinated students and staff members a chance to participate in a weekly drawing for prizes such as tickets to football or basketball games and Apple products. Employees who are fully vaccinated are eligible for a personal day off.

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The Pakistani government has called out troops to help enforce Covid safety regulations. Soldiers watched a street in Peshawar from the back of a military vehicle.
Fayaz Aziz/Reuters

With Covid-19 deaths surging to records in Pakistan this week, the government has sent troops to the streets to help enforce coronavirus precautions, and is warning it may turn to a lockdown if the spread is not controlled.

Pakistan reported 201 deaths on Tuesday, the most in a single day so far, and has counted a total of 17,680 Covid deaths since the pandemic began. More than 5,200 patients are receiving critical care in the country’s hospitals. And there are fears that the virus could rampage through Pakistan the way it is doing in neighboring India if immediate steps are not taken to curb its spread. All travel to India has been banned.

Fawad Chaudhry, the minister for information, said on Thursday that the government will be forced to impose a strict nationwide lockdown if the situation continues to deteriorate.

“Right now, the national positivity rate is 11 percent,” he told reporters in Islamabad, referring to the share of virus tests that are coming back positive. “If it goes up to 14 or 15 percent, we will have no choice but to move toward a lockdown.”

Soldiers are now patrolling streets and markets in more than a dozen cities, telling people to keep wearing masks and making sure mandatory closing times and other safety protocols are followed. Only essential food items and medicines may be sold after 6 p.m.

The approach of the Eid al-Fitr holiday next month, when people typically do more shopping and socializing, has raised concerns.

The government has urged caution and simpler festivities this year. Travel between cities and between provinces will be banned from May 8 until May 16, and hotels, public parks and tourist facilities will be closed.

Vaccination efforts in Pakistan, with a population of more than 200 million, are progressing slowly. Health officials say 2 million vaccine doses have been administered so far, initially focused on people over 60 and health care workers. Eligibility will expand on Monday to include anyone over 40. By June, the country expects to have received 18.7 million doses, most of them to be distributed free by the government, though the private sector has been allowed to obtain some doses for sale to affluent patients.

Mariam Chaudhry, an Islamabad resident, is waiting her turn under the government program. She said she wanted to be vaccinated so she could move around and travel safely, but others were being prompted more by the recent dire news from across the border.

“People were reluctant to inject new vaccines with unknown side effects,” Ms. Chaudhry said. “But the situation in India has delivered a powerful wake-up call. With catastrophe at the doorsteps, rising numbers of people are now rushing to inoculate.”

Travelers wait to board buses at the Esenler Coach Terminal in Istanbul Thursday, hours before a new new national lockdown was due to take effect.
Ozan Kose/Agence France-Presse — Getty Images

The streets of Istanbul were abuzz, the grocery stores packed, the seaside promenades crowded — but it was not the bustle of an ordinary spring Thursday. People were flocking to take advantage of the last day before a new lockdown takes hold, the strictest in Turkey since the pandemic began.

Daily reports of new coronavirus cases rose swiftly in the country after the government started lifting earlier safety strictures in March, and are now generally around 40,000 a day, according to official figures, with some days reaching 60,000 or more. The health care system is swamped with patients, and the country set a grim record last week with 362 Covid deaths reported in a single day.

The country’s heath minister, Fahrettin Koca, has said that more contagious variants of the virus are partly to blame for the accelerating spread. Critics say the government relaxed too soon in March, before the country had made much progress with vaccination.

Turkey has fully vaccinated only about 11 percent of its people so far — 8.8 million out of a population of 83 million — using mainly the CoronaVac vaccine developed in China and the Pfizer-BioNtech vaccine. It has had a hard time securing more doses, and has resorted to postponing second doses to stretch its supply. But Mr. Koca said he expects 30 million more doses of the Pfizer vaccine in June, and to soon add the Sputnik V vaccine from Russia to its effort.

“Vaccine procurement will be difficult in the next two months,” Mr. Koca said in a video statement on Thursday. ‘’But then we expect to have abundance of vaccines.’’

For weeks, scientists have been calling for a total lockdown to stem the surge, but President Recep Tayyip Erdogan held off, mainly for economic reasons. He changed course after a cabinet meeting on Monday, and announced a new three-week lockdown to take effect Thursday evening and last through the end of Ramadan.

Many people will be required to stay home except for essential errands or to go to certain jobs. Schools, kindergartens and day care centers will be closed. Grocery stores will be open, but only for customers who live within walking distance. Even solitary outdoor exercise will be banned.

The announcement prompted a rush to stock up on groceries, alcohol and other supplies for the lockdown, which will include Eid al-Fitr, the three-day festival to mark the end of Ramadan. And many city dwellers hurried to reach rural hometowns or holiday resorts while travel was still allowed.

Though Mr. Erdogan billed the new restrictions as “a full lockdown,” an association of labor unions known as DISK estimated that 61 percent of all workers in Turkey are employed in sectors that are exempt from the lockdown, including manufacturing, construction, agriculture and transportation.

Gokhan Aydin, 45, who works in a cable factory in Bursa, said he and his coworkers “would have loved to be part of the full lockdown, without loss of income, as the virus peaked.” Though his factory has good Covid precautions, he said, he is still worried because the virus is everywhere.

The lockdown will land hardest on the many Turks who depend on informal day work. A single mother with five small children in Istanbul who collects and sells paper said her family can eat only on days when she can work.

“I really don’t know what to do,” she said, speaking on the condition of anonymity to avoid jeopardizing her welfare payments from the government. “I wish the state would give me a job.”

Increased supply-chain and freight costs for cereal makers could translate into higher retail prices for customers.
Sara Hylton for The New York Times

Before the pandemic, when suppliers raised the cost of diapers, cereal and other everyday goods, retailers often absorbed the increase because stiff competition forced them to keep prices stable.

Now, with Americans’ shopping habits having shifted rapidly — with people spending more on treadmills and office furniture and less at restaurants and movie theaters — retailers are also adjusting, Gillian Friedman reports for The New York Times.

The Consumer Price Index, the measure of the average change in the prices paid by U.S. shoppers for consumer goods, increased 0.6 percent in March, the largest rise since August 2012, according to the Bureau of Labor Statistics. Procter & Gamble is raising prices on items like Pampers and Tampax in September. General Mills, which makes cereal brands including Cheerios, is facing increased supply-chain and freight costs that could translate into higher retail prices for customers.

At the beginning of the pandemic, companies were focused on fulfilling demand for toilet paper, cleaning supplies, canned food and masks, said Greg Portell, a partner at Kearney, a consulting firm. The government was watching for price-gouging, and customers were wary of being taken advantage of.

Now that the economy is beginning to stabilize, companies are starting to rebalance pricing so that it better fits their profit expectations and takes into account inflation. “This isn’t an opportunistic profit-taking by companies,” Mr. Portell said. “This is a reset of the market.”

Vaccine skeptics are much more likely than nonskeptics to have a highly developed sensitivity for liberty and to have less deference to those in positions of power.
Allison Zaucha for The New York Times

For years, scientists and doctors have treated vaccine skepticism as a knowledge problem. If patients were hesitant to get vaccinated, the thinking went, they simply needed more information.

But as public health officials now work to convince Americans to get Covid-19 vaccines as quickly as possible, new social science research suggests that a set of deeply held beliefs is at the heart of many people’s resistance, complicating efforts to bring the coronavirus pandemic under control.

“The instinct from the medical community was, ‘If only we could educate them,’” said Dr. Saad Omer, director of the Yale Institute for Global Health, who studies vaccine skepticism. “It was patronizing and, as it turns out, not true.”

About a third of American adults are still resisting vaccines. Polling shows that Republicans make up a substantial part of that group. Given how deeply the country is divided by politics, it is perhaps not surprising that they have dug in, particularly with a Democrat in the White House. But political polarization is only part of the story.

In recent years, epidemiologists have teamed up with social psychologists to look more deeply into the “why” behind vaccine hesitancy. They wanted to find out whether there was anything that vaccine skeptics had in common, in order to better understand how to persuade them.

They borrowed a concept from social psychology — the idea that a small set of moral intuitions forms the foundations upon which complex moral worldviews are constructed — and applied it to their study of vaccine skepticism.

What they discovered was a clear set of psychological traits offering a new lens through which to understand skepticism — and potentially new tools for public health officials scrambling to try to persuade people to get vaccinated.

Dr. Omer and a team of scientists found that skeptics were much more likely than nonskeptics to have a highly developed sensitivity for liberty — the rights of individuals — and to have less deference to those in positions of power.

Larry Schwartz, one of Gov. Andrew M. Cuomo’s most trusted advisers, stepped down from his role as New York State’s vaccine czar.
John Lamparski/NurPhoto, via Getty Images

Larry Schwartz, one of Gov. Andrew M. Cuomo’s most trusted advisers, has unexpectedly stepped down from his role as New York State’s vaccine czar, about five months after he was recruited by the governor to take the post.

He submitted his resignation on Wednesday, just as the State Legislature restored provisions to the state public officers law that would have affected Mr. Schwartz, had he remained in the position.

Mr. Schwartz was not paid for his service in the post. But the changes to the law would have made him subject to rules requiring him to file financial disclosure forms, as well as a two-year lobbying ban after his service, according to two people familiar with the matter.

Mr. Cuomo waived those requirements at the beginning of the pandemic so that he could attract a broader pool of volunteers to assist at the highest levels of government.

Mr. Schwartz, who served as Mr. Cuomo’s top aide from 2011 to 2015 and is now the chief strategy officer at OTG, an airport concessions company, decided to step down to avoid the lobbying ban, the two people said. OTG operates in airports run by the Port Authority of New York and New Jersey, whose executive director is appointed by Mr. Cuomo.

A group of friends, some masked and some unmasked, play dominoes in the Little Havana neighborhood of Miami.
Scott McIntyre for The New York Times

After a year of isolation, wariness and pandemic precautions, people in the United States are emerging and starting to navigate travel, classrooms and restaurants, and often discovering that when it comes to returning to old ways, they feel out of sorts. Do they shake hands? Hug? With or without a mask?

It’s a confusion made worse by state and federal rules and social norms that seem to vary widely from place to place, all while the very real threat of infection remains.

Many states and cities are scrambling to incorporate the Centers for Disease Control and Prevention’s new guidance into their own rules, and some are trying to reconcile the clash of cues.

“We have reviewed and support the C.D.C.’s new masking recommendations and are working quickly to align California’s guidance with these common sense guidelines,” Dr. Tomás Aragón, the director of the California Department of Public Health, said in a statement.

Dr. Susan Huang, of the University of California, Irvine, Medical School, explained the conflicted psychology as a function of rapidly changing risk, and differences in risk tolerance from person to person. Most places now have a foundation of vaccinated people, she said, but are not near to achieving herd immunity — with no children inoculated.

“We’re between the darkness and the light,” Dr. Huang said. She compared the psychology of mask-wearing, and when to stop doing it, with the way people approach changing their wardrobes each spring: The more risk-averse continue to wear winter clothes on 50-degree days, she said, while bigger-risk takers move quickly to summer outfit.

“Eventually,” she said, “everyone will be wearing shorts.”

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